Operative treatment of proximal humeral fractures in children: Indications and results

Abstract

Based on our study, surgical option is indicated for severely displaced and unstable fractures in older children and adolescents.

Pediatric Trauma Care in Low- and Middle-Income Countries: A Brief Review of the Current State and Recommendations for Management and a Way Forward

“…42,43 Where surgical resources are available, open reduction and internal fixation of fractures can be provided. 42,44 Unfortunately in LMICs, most of these patients are not seen by an orthopedic surgeon, but by a general surgeon or a nonsurgical provider with no orthopedic training. 40 Fractures are then managed conservatively either using closed reduction and casting or, in the case of open fractures, with external fixation to allow access to wounds.…”

Percutaneous Pinning of Fractures of the Surgical Neck of the Humerus in Children and Adolescents

“…27 Odéhouri in a series of 20 children treated by percutaneous pinning reported an outstanding outcome in 80% of the cases and a good outcome in 20% of the cases. 28 Rolauffs in a series of 43 children treated by percutaneous pinning reported an outstanding outcome in 74% of the cases, a good outcome in 22% of the cases, and a bad result in 4 %. 29 Binder in a series of 72 children treated by percutaneous pinning reported an outstanding outcome in 94% of the cases and a good outcome in 6% of the cases.…”

“…No physical arrest or avascular necrosis was observed. 28 The use of smooth K-wires leads to loosening of the pins and a loss of reduction: K-wires with threaded tips allow this complication to be reduced. 31…”

Operative choice for displaced proximal humeral fractures in adolescents with open visible physis: A comparative study of external fixator vs. Kirschner wire

“…KW is a cost-effective choice for PHF, and usually is performed in percutaneous fashion [16]. However, sometimes entrapment of the tendon of long head of biceps and periosteum might hinder the manual reduction [17,18], and ORIF has to be done to facilitate the reduction followed by KW pinning [1,2].…”